Provider Demographics
NPI:1972012193
Name:SCHLOGL, GALE MARIE (NP)
Entity type:Individual
Prefix:
First Name:GALE
Middle Name:MARIE
Last Name:SCHLOGL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-1239
Mailing Address - Country:US
Mailing Address - Phone:573-324-5555
Mailing Address - Fax:573-324-2617
Practice Address - Street 1:8 BOWLING GREEN TOWN CENTER DRIVE
Practice Address - Street 2:HANNIBAL REGIONAL MEDICAL GROUP
Practice Address - City:BOWLING GREEN
Practice Address - State:MO
Practice Address - Zip Code:63334
Practice Address - Country:US
Practice Address - Phone:573-324-2241
Practice Address - Fax:573-324-2617
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023048920363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner